Radiation Management of Interventional Procedures

Techniques for managing the radiation dose during fluorosopically-guided interventional procedures.

Course ID: Q00331 Category:
Modalities: ,


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Targeted CE per ARRT’s Discipline, Category, and Subcategory classification:

Cardiac-Interventional Radiography: 2.50
Image Production: 2.50
Image Acquisition and Equipment: 2.50

Radiography: 2.50
Safety: 2.50
Radiation Physics and Radiobiology: 0.50
Radiation Protection: 2.00

Registered Radiologist Assistant: 2.50
Safety: 2.50
Patient Safety, Radiation Protection and Equipment Operation: 2.50

Vascular-Interventional Radiography: 2.50
Image Production: 2.50
Image Acquisition and Equipment: 2.50


  1. Introduction
  2. Radiation Effects
  3. Principles of Radiation Protection
  4. Radiation Dose Estimation
  5. Radiation Management in Interventional Procedures
    1. Before the Procedure
    2. Procedure Planning
    3. During the Procedure
    4. After the Procedure
    5. Quality Assurance and Quality Improvement


Upon completion of this course, students will:

  1. understand how many FGI procedures are performed
  2. understand why FGI procedures have increased over the years
  3. understand the biologic effects from radiation exposure
  4. explain dose optimization
  5. understand radiation monitoring and recording of dose
  6. know what portion of the fluoroscope allows for high definition
  7. relate stochastic injury to genetic transformation
  8. understand stochastic injury in the pediatric population
  9. know time frame of stochastic radiation effects
  10. relate severity of deterministic effects to radiation dose
  11. understand patient outcomes from deterministic radiation injury
  12. understand ICRP fundamental principles
  13. define ICRP principle of optimization
  14. understand application of the ICRP principle of optimization
  15. understand special metrics for radiation dose estimation
  16. relate peak skin dose to primary beam and scatter
  17. be familiar with pre-procedure factors that help estimate the severity and likelihood of radiation effects
  18. understand what patient population has the lowest risk for radiation-induced cancer
  19. understand which patient population is more at risk for stochastic effects
  20. understand which patient population is more at risk for deterministic effects
  21. be familiar with diseases and their relationship to sensitivity to radiation
  22. understand connection between deterministic effects and FGI procedure factors
  23. compare latency period and cataract formation
  24. understand time needed between FGI procedures
  25. know alternate imaging modalities for pregnant patients
  26. know procedure modifications for pregnant patients undergoing FGI procedures
  27. understand the physicist inspection requirements of radiation-generating equipment
  28. be familiar with adjusted technical parameters and their affect
  29. understand fluoroscopic options to reduce patient radiation
  30. be familiar with professionals that can make adjustment to the fluoroscope
  31. be familiar with techniques to reduce peak skin dose
  32. know how to reduce radiation dose to the eye during FGI procedures
  33. be familiar with radiation management responsibilities
  34. relate threshold value and additional dose management
  35. understand the importance of radiation dose notification during the procedure
  36. relate threshold amount and sentinel events
  37. be familiar with recordable procedure radiation data
  38. understand operator actions when a significant radiation dose has been administered
  39. know primary goal of radiation management in interventional radiology
  40. relate fluoroscopic equipment function to practice results